基于“骨错缝、筋出槽”诊治椎间盘病症  

Diagnosis and treatment of intervertebral disc disease based on the theory of "Gucuofeng and Jinchucao"(骨错缝、筋出槽)

作　　者：张明才[1] 詹红生[1] 石印玉[1] 黄仕荣[1] 王翔[1] 

机构地区：[1]上海中医药大学附属曙光医院上海市中医药研究院骨伤科研究所,上海200021

出　　处：《中国骨伤》2008年第6期441-443,共3页China Journal of Orthopaedics and Traumatology

基　　金：国家自然基金(编号:30371793;30500674;30300459);教育部新世纪优秀人才支持计划(编号:NCET040438);国家中医药管理局优秀中医临床人才研修项目(编号:04YX139)

摘　　要：目前,包括颈椎和腰椎在内的椎间盘病症发病率居我国各种慢性难治性疾病的第8位。如何正确诊疗本病症,才能提高和稳定疗效、降低复发率是世界性医学难题。以往认为椎间盘变性、膨出或突出是引起椎间盘病症临床症状的主要原因,在这一理论指导下,现代临床也较多地针对椎间盘进行治疗。但是,这一理论并未获得充分的临床证据支持。根据椎间盘病症的临床特点,结合中医学认识,我们认为其发病的关键病机是"骨错缝、筋出槽、筋骨失和"。本文试从这一认识出发,探讨椎间盘病症诊治的新思路。It has previously been reported that the incidence rate of intervertebral disc disease including cervical and lumbar vertebra is at the 8th position among the chronic and difficult treated diseases in China. There are great challenges on the improving diagnosis and treatment as well as reducing recrudescence of this degenerative disease. It was well known that the degeneration and bulge or herniatation of intervertebral discs are the main reasons for it ,and the treatment for it always focuses on the disc recovery. However, the discrepancy of the effect and expectation indicated that there were other reasons for it. Based on the clinical knowledge of intervertebral discs disease and combined with the cognition of Traditional Chinese Medicine, we proposed that the pathogenesis of intervertebral disc disease was Gucuofeng and Jinchucao （ 骨错缝、筋出槽 ）, which meant that the improper location of diapophysis and the declined of muscle strength may cause the unstable of spine, unstable spine thus aggravated the semiluxation of diapophysis.

关 键 词：颈椎 腰椎 椎间盘移位 中医病机 

分 类 号：R681.53[医药卫生—骨科学] R274.2[医药卫生—外科学]